JACOB KEARY (NPI# 1831656339) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1831656339 |
Entity Type | Individual |
Full Name | JACOB KEARY |
Credential | AT, ATC |
Practice Address |
799 N Hewitt Rd Ypsilanti MI 48197-1701 |
Mailing Address |
2190 Arbor Cir W Apt 103 Ypsilanti MI 48197-3453 |
Practice Telephone | 7853120294 |
Mailing Telephone | 7853120294 |
Enumeration Date | 2019-02-21 |
Last Update Date | 2020-09-17 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
2601002465 | MI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Address | Telephone Number | Fax Number |
---|---|---|
909 Chalk Hill Ct, Lawrence, KS 660493004 | 7853120294 |
Street Address |
799 N HEWITT RD |
City | YPSILANTI |
State | MI |
Zip Code | 48197-1701 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124175856 | William J. Tuscany | Specialist/Technologist | 799 N Hewitt Rd, Eastern Michigan University, Ypsilanti, MI 48197-1701 | 2007-01-04 |
1528557675 | Bryce M Sorrier | Specialist/Technologist | 799 N Hewitt Rd, Ypsilanti, MI 48197-1701 | 2018-05-03 |
1649774662 | James John Sweet | Specialist/Technologist | 799 N Hewitt Rd, Ypsilanti, MI 48197-1701 | 2018-03-23 |
1306379300 | Megan Martin | Specialist/Technologist | 799 N Hewitt Rd, Ypsilanti, MI 48197-1701 | 2017-04-06 |
1558813964 | Steven Berning | Emergency Medicine | 799 N Hewitt Rd, Ypsilanti, MI 48197-1701 | 2016-11-02 |
1790230555 | Allison Frymier | Preventive Medicine | 799 N Hewitt Rd, Ypsilanti, MI 48197-1701 | 2016-08-22 |
1619324175 | Julia C Kolder | Specialist/Technologist | 799 N Hewitt Rd, Ypsilanti, MI 48197 | 2016-05-15 |
1346628534 | Eastern Michigan University | Health Maintenance Organization | 799 N Hewitt Rd, Ypsilanti, MI 48197-1701 | 2015-05-08 |
1134523673 | Katie Skinner | Specialist/Technologist | 799 N Hewitt Rd, Ypsilanti, MI 48197-1701 | 2014-10-13 |
1326442856 | Bradley Watson | Specialist/Technologist | 799 N Hewitt Rd, Ypsilanti, MI 48197-1701 | 2014-10-13 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700423092 | Devika Dibya Choudhuri | Counselor | 135 Porter West Circle Drive, Ypsilanti, MI 48197 | 2019-12-05 |
1770128837 | Brian Lee Shue | Registered Nurse | 6277 Maplehurst Dr, Ypsilanti, MI 48197 | 2019-11-13 |
1639721566 | Darlene E Bellers | 845 W. Circle Dr, Suite 160, Ypsilanti, MI 48197 | 2019-07-11 | |
1073165874 | Eastern Michigan University | Dietitian, Registered | Suite 160 Rackham, Ypsilanti, MI 48197 | 2019-07-11 |
1447815469 | Rainbow Rehabilitation Centers, Inc. | Community Based Residential Treatment Facility, Mental Illness | 6200 Textile Rd, Ypsilanti, MI 48197 | 2019-05-06 |
1417416298 | Justin Brewer | Student in an Organized Health Care Education/Training Program | 5333 Mcauley Drive Suite 2115, Ypsilanti, MI 48197 | 2019-03-19 |
1124519780 | Great Lakes Mindfulness LLC | Community/Behavioral Health | 4007 Carpenter Rd # 280, Ypsilanti, MI 48197 | 2018-05-19 |
1841799715 | Bedside Angel's Home Care, LLC | Home Health | 2032 S. Congress Street, Ypsilanti, MI 48197 | 2018-02-06 |
1891211777 | Brandon James Kukal | Specialist/Technologist | 799 N Hewitt, Ypslinati, MI 48197 | 2017-08-22 |
1669908737 | Michael Bekkerman | Student in an Organized Health Care Education/Training Program | 5303 Elliot Drive, Cancer Center, Ypsilanti, MI 48197 | 2017-05-10 |
Find all providers in zip 48197 |
Taxonomy Code | 2255A2300X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Specialist/Technologist |
Specialization | Athletic Trainer |
Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295345056 | Deland Maurice Mcmullan Jr. | Specialist/Technologist | 1122 Walnut St, Ypsilanti, MI 48198-3937 | 2020-08-06 |
1225692494 | Courtney Lynn Ziemba | Specialist/Technologist | 4554 Sycamore Dr, Ypsilanti, MI 48197-6125 | 2019-04-23 |
1538638671 | Krista Barnes | Specialist/Technologist | 2156 Lakeview Dr Apt 260, Ypsilanti, MI 48198-6738 | 2018-11-19 |
1750827457 | Danielle Darroch | Specialist/Technologist | 4926 Lakeridge St Apt Tb, Ypsilanti, MI 48197-1424 | 2017-01-18 |
1326599556 | Jodi Schumacher | Specialist/Technologist | 318j John W Porter Bldg, Eastern Michigan University, Ypsilanti, MI 48197 | 2016-10-24 |
1871946145 | Jejuan Quintel French | Specialist/Technologist | 18 Fairhills Dr, Ypsilanti, MI 48197-7416 | 2016-07-21 |
1689030033 | Aaron Struminger | Specialist/Technologist | Eastern Michigan University, 318u Porter Building, Ypsilanti, MI 48197 | 2016-01-14 |
1467582171 | Anthony John Whiren | Specialist/Technologist | 7200 Maplelawn Dr., Ypsilanti, MI 48197 | 2007-03-06 |
1891822375 | Stephen James Nordwall | Specialist/Technologist | 799 N. Hewitt Road, Convocation Center - Athletic Department, Ypsilanti, MI 48197 | 2007-02-28 |
1043368152 | Kara Lee Menzel | Specialist/Technologist | 6239 Hickory Ridge Ct, Ypsilanti, MI 48197-9489 | 2007-01-08 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.